Active NPI
Christine Truong
- Occupational Therapist
- West Covina, CA
National Provider Identifier
1861215097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24685
- Practice address
- 850 S Sunkist Ave
West Covina, CA 91790-2534 - Phone
- (626) 962-3368
- NPI assigned
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 24685 | CA | Primary |
Addresses
Primary practice location
850 S Sunkist Ave
West Covina, CA 91790-2534
Mailing address
3528 Priscilla Dr
West Covina, CA 91792-2636
Phone (626) 367-7397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24685 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1861215097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3528 PRISCILLA DR",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917922636",
"telephone_number": "626-367-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S SUNKIST AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902534",
"telephone_number": "626-962-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.